NPI | 1609033265 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-12091) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2008-0049) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2020-09-23 |